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ELIZABETH A. NEVILLE ����• Gy�; Town Hall, 53095 Main Road
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TOWN CLERK t o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
4 Southold, New York 11971
MARRIAGE OFFICER % � �� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `�.y�Q �a��� , Telephone (631) 765-1800
illFREEDOM OF INFORMATION OFFICER I '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2313 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD MANZI
Address 1 : PO BOX 702
City St Zip ROCKY POINT NY 11778
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0101
Name Of Owner MANZI HOMES INC
Mailing Address 1 PO BOX 702
City St Zip ROCKY POINT NY 11778
Property Address 1 SHIPS DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 3 lot 29.000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 5/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE l't ¶ Town Hall, 53095 Main Road
Pa, t P.O. Box 1179
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To % W ; Southold, New York 11971
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REGISTRAR}O NI AL STATISTICS 0 Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEE�T OF 'I oti; `�y�!! #.00�, Telephone (631) 765-1800
FREEDOM OF INFO ON OF' R jilig1 ��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 4, 2000
Transmitted herewith is a copy of application No. 2401 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Manzi .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
k -
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following rec mendations:
APPROVE
DISAPPROVE
Comments:
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OFFICE OF THE TOWN CLERK is�'CAV0)
TOWN OF SOUTHOLD ���'� CQ44\
Application No. o2`f°
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ELIZABETH A.NEVILLE,TOWN CLERK
, per'
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
o *' ; Alteration
Telephone O � �,' $10.00 - Residential
(516) 765-1801 Ol � ,�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ `
DATE sA da
APPLICANT NAME: 7 #,fief s
APPLICANT ADDRESS: la eix- 74,e 7d-y y
//77/-
SEPTIC V CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /'1/'7,(12'/ 7-10t1' /VG,
OWNER MAILING ADDRESS: /=D. 7v1c 7o7 "PDGry /41/A.,7—
/1- 7
t7/t- 7 /177
OWNER PROPERTY ADDRESS: _ /1•l' !!/� s'UC/777Iz)
TELEPHONE NUMBER OF CONTACT PERSON: 7Y'/-/0 3 '-
TAX MAP NO. : Section 6:37?' Block OUB Lot
CROSS STREET : ,1//27-/f -134511.4
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BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature off Applies nt
RECEIVED BY : te 2
Town Clerk's Office
DATE: 's LI en
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�...,. Map of Lot 9
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" "Subdivision Map of Bayview Woods Estates"
'� Filed: September 9, 1970 Map No. 5520
_' Situated at Southold
Town of Southold, Suffolk County,New York
District 1000 Section 79 Block 3 Lot 29
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Southold,New York 11971
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